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General NPI Number Information
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NPI Number | 1730846262
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Entity Type | Organization
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Legal Business Name | ADVANCED BEHAVIORAL RESOURCES
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 1313 N WILLIAMS ST APT 901
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City | DENVER
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State | CO
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Zip | 80218-2672
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Country | US
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Telephone | 720-773-0071
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Fax | 720-368-4580
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Provider Business Mailing Address
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Address Line | PO BOX 18950
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City | DENVER
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State | CO
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Zip | 80218-0950
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Country | US
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Telephone | 720-771-0071
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Fax | 720-368-4580
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KEN WINN
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Credential | BCBA
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Telephone | 720-773-0071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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